Lee M Gomberg is a Clinical in Long Beach, California. Lee M Gomberg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lee M Gomberg is 1487766622. The last update date is 2021-03-15.
Lee M Gomberg's current location address is Po Box 90121, Long Beach, California. You can contact this provider via phone number 5629723023 and fax number 5622067599. The mailing address for Lee M Gomberg is Po Box 90121, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lee M Gomberg |
|---|---|
| Address | Po Box 90121, Long Beach, California |
| Phone Number | 5629723023 |
| Fax Number | 5622067599 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1487766622 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2021-03-15 |
Provider Mailing Address Detail
| Address | Po Box 90121 |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908090121 |
| Phone Number | 5629723023 |
| Fax Number | 5622067599 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY14226 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Lee M Gomberg by the Centers for Medicare & Medicaid Services?
The Lee M Gomberg has been assigned the NPI (National Provider Identifier) 1487766622. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lee M Gomberg?
The Lee M Gomberg is situated at Po Box 90121, in the city of Long Beach, state of CA, with the zip code 908090121.
What is Lee M Gomberg's area of expertise and its corresponding taxonomy classification?
The Lee M Gomberg's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Lee M Gomberg receive its 1487766622 assignment from the Centers for Medicare & Medicaid Services?
The Lee M Gomberg was assigned its 1487766622 on 2006-08-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Lee M Gomberg most recently updated or revised?
The details related to Lee M Gomberg, including its address, specialty, and other relevant information, were last updated or revised on 2021-03-15.